Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.44 / $6,446.00 / $11,116.48	Facility		$733.44	$6,446.00	$11,116.48
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,368.93 / $3,368.93 / $3,368.93	Facility	22	$3,368.93	$3,368.93	$3,368.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,200.67 / $8,616.92 / $21,943.28	Facility	50	$6,200.67	$8,616.92	$21,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.99 / $506.67 / $1,650.51	Professional		$421.99	$506.67	$1,650.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,359.00 / $16,886.00	Facility		$4,100.00	$7,359.00	$16,886.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $464.79 / $1,041.40	Professional		$355.56	$464.79	$1,041.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $583.41 / $1,990.00 / $16,534.50	Facility		$583.41	$1,990.00	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $583.41 / $583.41 / $583.41	Professional		$583.41	$583.41	$583.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.50 / $469.50 / $13,296.25	Facility		$469.50	$469.50	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.63 / $717.86 / $1,604.66	Professional		$382.63	$717.86	$1,604.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $499.94 / $8,640.00	Facility		$332.00	$499.94	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.58 / $557.63 / $834.52	Professional		$465.58	$557.63	$834.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.73 / $412.48 / $743.08	Professional		$313.73	$412.48	$743.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,026.27 / $6,247.04 / $9,979.26	Facility		$3,026.27	$6,247.04	$9,979.26
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,561.10 / $6,634.48 / $12,214.59	Facility	50	$4,561.10	$6,634.48	$12,214.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $469.50 / $597.00 / $13,296.25	Facility		$469.50	$597.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.91 / $690.73 / $1,491.81	Professional		$436.91	$690.73	$1,491.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $8,070.00 / $13,760.00	Facility		$2,337.00	$8,070.00	$13,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.88 / $513.53 / $1,283.88	Professional		$345.88	$513.53	$1,283.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $530.77 / $530.77 / $1,255.83	Facility		$530.77	$530.77	$1,255.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $313.73 / $530.77 / $866.93	Professional		$313.73	$530.77	$866.93